Healthserve Primary Care LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HEALTHSERVE PRIMARY CARE LLC

Practice address

153 W Main St Ste 103
New Albany, OH 43054-9225

Phone

(614) 939-9110

Fax

(641) 939-4857

NPI assigned

Nov 19, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael C Bourland

Title

Ceo

Phone

61493989110

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447891200000",
    "number": "1275907867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2939 KENNY RD STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212406",
            "telephone_number": "440-274-5000",
            "fax_number": "440-716-8608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 W MAIN ST STE 103",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430549225",
            "telephone_number": "614-939-9110",
            "fax_number": "641-939-4857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSERVE PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-19",
        "last_updated": "2015-11-19",
        "status": "A",
        "authorized_official_last_name": "BOURLAND",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "61493989110"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Denise Hart, CNP
• Meredith Haskell, PT
• Matthew Daniel Hastings, PA - C
• Justice Hayze
• Health Source Investment LLC
• Healthsource Chiropractic and Progressive Rehabilitation
• Preston C Heath, PA
• Jena Heck, PT, DPT, ATC, CSCS
• Tyler Hedrick, PA
• Jacob Heidish, PHYSICIAN ASSISTANT

• Family Medicine Physician in New Albany, OH
• Providers in New Albany, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.